Back

Healthcare Forms

1,805 Templates

Our collection of online healthcare form templates makes it easier to register new patients and learn about their medical history. The Jotform Form Builder provides healthcare practitioners with an array of widgets, applications, and themes to enhance patient engagement — enabling better communication between patient and provider to better understand patients and their needs.

Get started by choosing one of our healthcare templates or start customizing your own. Additionally, Jotform offers a simple way to update medical history, acquire consent e-signatures, collect bill payments, find new business, and more. Jotform also offers HIPAA compliance features so your healthcare forms stay secure.

View our full collection of online healthcare form templates below.

Pharmacy Forms

58
See All
COVID 19 Vaccine Consent Form

COVID 19 Vaccine Consent Form

Collect signed COVID-19 vaccine consent forms online. Easy to customize, share, and fill out on any device. Upgrade for HIPAA friendly features. Convert to PDFs instantly.

COVID 19 Vaccine Registration Form

COVID 19 Vaccine Registration Form

Collect COVID-19 vaccine registrations online. Fill out on any device. Easy to customize, share, and embed. Convert submissions to PDFs instantly. HIPAA friendly features option.

COVID 19 Vaccine Survey

COVID 19 Vaccine Survey

Get to know how people feel about the new COVID-19 vaccine with a custom online survey. Easy to personalize, embed, and share. Option for HIPAA friendly features.

COVID 19 Vaccine Declination Form

COVID 19 Vaccine Declination Form

Document the person's refusal from receiving the COVID-19 vaccination. Copy this COVID-19 Vaccination Declination Form to your Jotform account.

Coronavirus Response Forms

432
See All
Passenger Disclosure And Attestation To The United States Of America

Passenger Disclosure And Attestation To The United States Of America

Follow CDC requirements with this free passenger attestment form for airlines and aircraft operators. Turns form submissions into PDFs automatically. No coding.

COVID 19 Liability Waiver

COVID 19 Liability Waiver

Receive signed liability waivers and e-signatures online with our free COVID-19 Liability Waiver form. Easy to customize and share. No coding is required.

COVID 19 Vaccine Consent Form

COVID 19 Vaccine Consent Form

Collect signed COVID-19 vaccine consent forms online. Easy to customize, share, and fill out on any device. Upgrade for HIPAA friendly features. Convert to PDFs instantly.

COVID 19 Liability Release Waiver

COVID 19 Liability Release Waiver

Start collecting your participants' liability release waiver for this pandemic using this COVID-19 Liability Release Waiver Template. Just connect your device to the internet and load your form and start collecting your liability release waiver. Get this here in Jotform!

Telehealth Forms

112
See All
New Patient Enrollment Form

New Patient Enrollment Form

New Patient Enrollment Form which personal information, contact information, emergency contact people area and medical history information are provided; allowing you to have an easier and faster registration process.

Coronavirus Screening Form

Coronavirus Screening Form

Prevent the spread of COVID-19 with a free Coronavirus Screening Form. Ideal for doctors’ offices and telemedicine. HIPAA friendly features.

Sample Request Form

Sample Request Form

A sample request form is a quick and easy way to ask for examples of a product or service from a business.

Telehealth Consent Form

Telehealth Consent Form

Get informed consent from patients online. Collect electronic signatures. Easy to customize for your practice.

CAHPS Surveys

9
See All
CAHPS® Clinician & Group Survey Version 3 0 (Adult)

CAHPS® Clinician & Group Survey Version 3.0 (Adult)

Gather feedback from adult patients online. CAHPS® Clinician and Group Survey for healthcare providers. Add supplemental items from AHRQ. No coding required.

CAHPS® Cancer Care Radiation Therapy Survey

CAHPS® Cancer Care Radiation Therapy Survey

Readymade online CAHPS® survey. Collect feedback from cancer patients receiving radiation therapy. Fill out on any device. Upgrade for HIPAA compliance.

CAHPS® Child Hospital Survey

CAHPS® Child Hospital Survey

Ready-to-use CAHPS® survey for hospitals. Share with your patients’ parents to fill out on any device. Upgrade to protect data with HIPAA compliance.

CAHPS® Cancer Care Surgery Survey

CAHPS® Cancer Care Surgery Survey

Receive feedback from cancer surgery patients. Official CAHPS® Cancer Care Surgery Survey. Add supplemental items without coding. Fill out on any device.

Hospice Forms

25
See All
Patient Supplies Order Form

Patient Supplies Order Form

Keeping a clear and organized medical order in the healthcare business is important because it saves time and enhances the efficiency of their medical order. This patient supplies order form is mostly used by medical staff and hospitals. The objective of this form is to assist and help medical staff for keeping the records of used supplies by patients. The form will need information such as patient information and medical supply information. The costs incurred for each service and the materials are also needed to complete the form.

COVID 19 Daily Health Screening Form

COVID 19 Daily Health Screening Form

Receive coronavirus screening forms online. Great for students, clients, employees, and more. Easy to customize, embed, and share. Fill out on any device.

Palliative Care Assessment Form

Palliative Care Assessment Form

Classify the type of care that the patient with severe illness is needed by using this Palliative Care Assessment Form. This form is simple yet contains all necessary health questions to diagnose the patient correctly.

Hospice Patient Satisfaction Survey

Hospice Patient Satisfaction Survey

Hospice patient satisfaction surveys are inquiries used by medical providers to seek feedback from patients about their hospice care. Collect patient feedback with a free online Hospice Patient Satisfaction Survey.

Other Healthcare Forms

1,805
Form Templates: COVID 19 Liability Waiver

COVID 19 Liability Waiver

Receive signed liability waivers and e-signatures online with our free COVID-19 Liability Waiver form. Easy to customize and share. No coding is required.

Coronavirus Response Forms
Form Templates: Medical History Form

Medical History Form

A medical history form is a questionnaire used by health care providers to collect information about the patient’s medical history during a medical or physical examination.

Healthcare Forms
Form Templates: COVID 19 Vaccine Registration Form

COVID 19 Vaccine Registration Form

Collect COVID-19 vaccine registrations online. Fill out on any device. Easy to customize, share, and embed. Convert submissions to PDFs instantly. HIPAA friendly features option.

Pharmacy Forms
Form Templates: Online Doctor Appointment Form

Online Doctor Appointment Form

An online doctor appointment form is used by medical practices to schedule medical appointments through the practice website.

Appointment Forms
Form Templates: Coronavirus Self Declaration Form

Coronavirus Self Declaration Form

Employees can complete this form online and report any COVID-19 symptoms they may have. No coding is required. HIPAA compliance option.

Coronavirus Response Forms
Form Templates: Medical Report Form

Medical Report Form

A medical report form is a document used by medical professionals for documenting a patient’s medical treatment.

Medical Surveys & Questionnaires
New Patient Enrollment Form

New Patient Enrollment Form

New Patient Enrollment Form which personal information, contact information, emergency contact people area and medical history information are provided; allowing you to have an easier and faster registration process.

Patient Registration Form Templates
Personal Training Consultation Questionnaire

Personal Training Consultation Questionnaire

A personal training consultation questionnaire is used by gym owners to gather contact information and fitness goals from potential personal training clients. Ensure your clients are motivated to achieve their fitness goals!

Questionnaire Templates
Screening Checklist For Visitors And Employees

Screening Checklist For Visitors And Employees

Prevent the spread of COVID-19 with a free Screening Checklist for Visitors and Employees. Ideal for hospitals or other organizations staying open during the crisis.

Healthcare Forms
Patient Feedback Form

Patient Feedback Form

A patient feedback form is a survey with questions that allows medical doctors to gather feedback from patients regarding their overall experience with the clinic.

Patient Feedback Forms
Negative COVID 19 Test Reporting Form

Negative COVID 19 Test Reporting Form

Receive submissions for COVID-19 test reports from your staff for your company or organization online. Use this Negative COVID-19 Test Reporting Form template and make your receiving process simple and manageable.

Coronavirus Response Forms
COVID 19 Vaccine Consent Form

COVID 19 Vaccine Consent Form

Collect signed COVID-19 vaccine consent forms online. Easy to customize, share, and fill out on any device. Upgrade for HIPAA friendly features. Convert to PDFs instantly.

Pharmacy Forms
Coronavirus Case Report Template

Coronavirus Case Report Template

People can report suspected cases of COVID-19 in their workplace or community. Easy to customize, integrate, and share online. No coding required.

Coronavirus Response Forms
Patient Medical History Form

Patient Medical History Form

The template is used by patients to register medical history through providing their personal information, weight, allergies, illnesses, operations, healthy habits, unhealthy habits. You can integrate the data to your own systems.

Patient Registration Form Templates
Health Declaration Form

Health Declaration Form

A health declaration form is a document that declares the health of a person to the other party. See applicants' health history with a free health declaration form.

Healthcare Forms
Hospital Discharge Form

Hospital Discharge Form

This hospital discharge form is suitable for hospitals and clinics worldwide. The staff of hospitals can use this form to ensure all requirements are meant before a patient is discharged.

Healthcare Forms
Physician Release To Return To Work Form

Physician Release To Return To Work Form

Collect physician releases and e-signatures for your HR department with this online Physician Release to Return to Work Form. Free to use, easy to customize.

Return to Work Forms
Professional Counseling Informed Consent Form

Professional Counseling Informed Consent Form

A Professional Counseling Informed Consent Form is a document provided by the counseling service to their clients in order to properly acquire consent from them treatment for mental health. The form contains information about the services and the agreement to be made by the counseling service and the client. By having this document, it also helps inform of the risks, limitations, and benefits of the treatment. This Professional Counseling Informed Consent Form is a direct and simple form for clients who wish to receive therapy, which may be used by the counsel for reference. It serves as a reference for the therapist in informing his or her client of the client's rights and what to expect in the sessions.

Informed Consent Forms
Patient Supplies Order Form

Patient Supplies Order Form

Keeping a clear and organized medical order in the healthcare business is important because it saves time and enhances the efficiency of their medical order. This patient supplies order form is mostly used by medical staff and hospitals. The objective of this form is to assist and help medical staff for keeping the records of used supplies by patients. The form will need information such as patient information and medical supply information. The costs incurred for each service and the materials are also needed to complete the form.

Healthcare Forms
Massage Therapy Client Intake

Massage Therapy Client Intake

Never thought you needed therapy? You can sign up for massage therapy with massage intake form template and you can create a HIPAA Compliant. Also, client intake form massage is used by Chiropractors. Massage therapy intake contains different questions about personal information, contact information, history of pathology and the client's symptoms.

Signup Forms
Coronavirus Screening Form

Coronavirus Screening Form

Prevent the spread of COVID-19 with a free Coronavirus Screening Form. Ideal for doctors’ offices and telemedicine. HIPAA friendly features.

Coronavirus Response Forms
Gym Health Questionnaire Form

Gym Health Questionnaire Form

A gym health questionnaire is a health form that is used by gym instructors to track the health and fitness of their clients.

Medical Surveys & Questionnaires
Initial Visit Patient Forms (MDR)

Initial Visit Patient Forms (MDR)

An initial visit patient form is used by medical practitioners to collect information from patients as they arrive at their practice's office for an initial visit.

Medical Surveys & Questionnaires
Blood Donation Form

Blood Donation Form

This blood donation form lets you provide a health clinic, hospital, or blood bank with the information they need to add you to their subscriber link for blood donors. Fully customizable and free.

Medical Application Forms

More categories like this

Services Forms

1,443 Templates

Registration Forms

1,491 Templates

Evaluation Forms

1,027 Templates

These templates are suggested forms only. Before using this or any form as a contract or other legal document, please consult with an attorney to make sure it meets the legal needs or your situation. Do not use this form to send a legal request to Jotform.